Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.43 / $2,747.00 / $7,920.26	Facility		$1,961.43	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.90 / $1,453.18 / $5,138.06	Professional		$910.90	$1,453.18	$5,138.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,366.16 / $2,175.83 / $2,934.40	Professional		$1,366.16	$2,175.83	$2,934.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,560.21 / $2,223.83 / $2,503.81	Professional		$1,560.21	$2,223.83	$2,503.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,417.99 / $2,116.84 / $3,124.34	Facility		$1,417.99	$2,116.84	$3,124.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,538.16 / $1,770.12 / $3,179.70	Professional		$1,538.16	$1,770.12	$3,179.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,405.05 / $1,900.63 / $1,999.28	Facility		$1,405.05	$1,900.63	$1,999.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,453.18 / $2,266.23 / $2,796.24	Facility		$1,453.18	$2,266.23	$2,796.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,740.92 / $2,335.71 / $2,947.30	Professional		$1,740.92	$2,335.71	$2,947.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,165.64 / $5,165.64 / $5,165.64	Facility		$5,165.64	$5,165.64	$5,165.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,822.95 / $2,448.37 / $3,130.22	Professional		$1,822.95	$2,448.37	$3,130.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,508.68 / $2,175.60 / $3,153.41	Professional		$1,508.68	$2,175.60	$3,153.41